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1184016933
PUJA J BHAKTA
GREEN BAY, WI
NPI
1184016933
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
204E00000X Oral & Maxillofacial Surgery
(Licence: WI 1001499)
Enumeration Date
2015-03-02
Last Update Date
2023-08-28
Business Address
PUJA J BHAKTA DDS
430 MAIN ST
GREEN BAY, WI 54301-5115
Phone number: 920-431-0345
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Mailing Address
PUJA J BHAKTA DDS
11711 W BURLEIGH ST
WAUWATOSA, WI 53222-3196
Phone number: 414-771-2345
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